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Louisiana rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.91 / $10.00 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $33.88 / $67.61
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $8.91 / $19.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.22 / $23.99 / $36.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $24.55 / $27.54
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.46 / $6.46 / $10.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $40.74 / $47.86
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $10.72 / $14.13
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $30.20 / $33.88
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $8.32 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $30.90 / $58.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.50 / $9.12 / $16.22
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.45 / $22.91 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $31.62 / $48.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $8.91 / $13.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.49 / $22.39 / $33.88